excessive activity of the gastric glands is manifested, fatty food,
or fat as emulsion, is prescribed. And here medicine has empirically
brought to its aid the restraining action of fat, which we have so
strikingly seen in our experiments.
Amongst all the articles of human food, milk takes a special position,
and this is unanimously recognised, both in daily experience and in the
practice of medicine. By everybody milk is considered a light food,
and is given in cases of weak digestion as well as in a whole series
of severe illnesses; for example, in heart and kidney affections. The
extreme importance of this substance, a food prepared by Nature itself,
we can now well understand. There are three properties of milk which
secure it an exceptional position. As we already know, in comparison
with nitrogenous equivalents of other foods, the weakest gastric juice
and the smallest quantity of pancreatic fluid are poured out on milk;
consequently, the secretory activity requisite for its assimilation is
much less than with any other food-stuff. In addition, milk possesses
a further important property. Thus, when it is introduced unobserved
into the stomach of an animal it causes a secretion both in the stomach
and also one from the pancreas; consequently, it appears to be an
independent chemical excitant of the digestive canal; and in this
action it is remarkable that we perceive no essential difference in
the effect when the milk is brought unnoticed into the stomach from
that which occurs when it is given to the animal to lap. Although
flesh is a better chemical excitant, it is by no means a matter of
indifference how it gets into the stomach. It must, therefore, be
accepted that milk excites not only a really effective, but at the same
time a very economic, secretion, and also that the appetite is unable
to stimulate this secretion into a more active or abundant flow. The
secret of the relation of milk to the secretion of the digestive juices
can, unfortunately, at present be submitted to no further analysis or
investigation. We are at liberty, however, to suppose that the fat on
the one hand is of importance for the inhibition of the gastric glands,
and the alkalinity on the other for the restraint of the pancreas. Thus
the gastric glands and the pancreas, notwithstanding the presence of
excitants, are maintained by milk at a certain but not too high degree
of activity, a matter which is in every way desirable in consideration
of the easy digestibility of its constituents. Finally, the third
characteristic which is observed to belong to milk, and which is
probably only an expression of the first, consists in the following.
When one administers to an animal equivalent quantities of nitrogen, in
the one case as milk, in the other as bread, and afterwards estimates
the hourly output of nitrogen in the urine, it results that the
increase during the first seven to ten hours after the milk (compared
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